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Bacteriological study of amniotic fluid during labor.

D P Maye, I Filthuth, P Pugin

    Acta Obstetricia Et Gynecologica Scandinavica
    |January 1, 1983
    PubMed
    Summary

    Quantitative analysis of amniotic fluid bacteria identified high-risk patients for endometritis and neonatal sepsis. This method aids in predicting maternal and infant infections during labor.

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    Area of Science:

    • Obstetrics and Gynecology
    • Medical Microbiology
    • Neonatal Medicine

    Background:

    • Intra-amniotic infections (IAI) are a significant complication during labor and delivery.
    • Early identification of IAI is crucial for preventing adverse maternal and neonatal outcomes.
    • Traditional diagnostic methods may not always accurately predict infection risk.

    Purpose of the Study:

    • To evaluate the utility of quantitative amniotic fluid bacteriology in predicting maternal and neonatal infections.
    • To determine if specific microbial concentrations in amniotic fluid correlate with clinical signs of infection.

    Main Methods:

    • Amniotic fluid samples were collected from 207 women during labor via artificial rupture of membranes or amniocentesis.
    • Quantitative bacterial cultures were performed on all samples.

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  • Leukocyte counts and lactate dehydrogenase (LDH) levels in amniotic fluid were assessed.

    • Main Results:

    • Several bacterial species, including Staphylococcus aureus, E. coli, group B Streptococci, and Lactobacilli, were identified.
    • Six mothers and four of their infants developed infections, correlating with the presence of specific pathogens in amniotic fluid.
    • Amniotic fluid leukocyte counts and LDH levels did not reliably correlate with the development of infection symptoms.

    Conclusions:

    • Quantitative bacteriology of amniotic fluid is a valuable tool for identifying patients at high risk of endometritis and neonatal sepsis.
    • This microbiological assessment can aid in proactive management and intervention for at-risk pregnancies.
    • Routine quantitative bacterial analysis of amniotic fluid may improve perinatal infection surveillance.